Diaper Rash

Definition

A diaper rash is a skin irritation under your baby’s diaper. The rash can be on the abdomen, genitals, and in the folds of the buttocks and thighs. Most babies develop a diaper rash at some time during infancy.

Symptoms

The main symptoms of diaper rash are bumps, redness, and scaly patches on the skin under the diaper. There may also be blister-like spots or sores on the skin. Your baby may also be more fussy and irritable when the diaper is changed.

If the rash is not cared for, then it can become infected. It can become bright red with red bumps and blisters.

Symptoms of an infected rash may include:

Open sores, boils, or pus

Your baby is not sleeping or eating normally

Your baby develops a fever

The rash becomes worse or does not improve in 2 or 3 days

Contact your doctor if your child has signs of an infected rash.

Diagnosis

Most parents can recognize a diaper rash when they see it. A mild diaper rash doesn’t normally require a visit to the pediatrician.

Treatment

Diaper rashes usually clear up in 3-4 days with the following treatment:

Change diapers frequently.

Use water and a clean washcloth or baby wipes to rinse your baby’s skin.

Do not use creams that have boric acid, camphor, phenol, methyl salicylate, or a compound of benzoin tincture.

Do not use talcum or cornstarch powders.

If the rash is severe, see your child's doctor. The doctor may suggest using a mild hydrocortisone cream to calm the skin if it is irritated. If the rash is yeast-related, then the doctor may recommend a medicated cream. Antibiotic ointments may be used for mild bacterial infections. These creams are available without prescription, but your pediatrician may want to discuss these options before starting treatment.

Severe infections may require oral antibiotics.

Prevention

To help reduce your child's chance of diaper rash:

Change your baby’s diaper frequently.

Use water and a clean washcloth or baby wipes to rinse your baby’s skin.

Dry the diaper area well after changing. Let the area air out.

Allow your baby to go without a diaper when possible.

Avoid using fabric softeners on cloth diapers.

Use cloth diapers or super-absorbent disposable diapers to prevent irritation.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.